| NPI | 1801066279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009401) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010014294) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2010-12-28 |