| NPI | 1811173552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010903) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3372) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2011-12-28 |