| NPI | 1942756564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004015) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-10-12 |