| NPI | 1972925352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9666) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002856) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2016-07-15 |