| NPI | 1912451857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012692) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4190) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-10-11 |