| NPI | 1003253865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011860) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002548) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2019-01-28 |