| NPI | 1972541233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 102623) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004057) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-11-19 |