| NPI | 1790097897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011001483) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009766) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2022-07-21 |