| NPI | 1780110353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013123) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005431) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |