| NPI | 1770913139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006874) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002744) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2021-01-15 |