| NPI | 1750739769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12093) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |