| NPI | 1871989590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009021161) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009976) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-04-04 |