| NPI | 1841699261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014030935) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003143) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-04-16 |