| NPI | 1871655399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005014366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008249) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-09-24 |