| NPI | 1013222074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010074) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2007024366) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2010-08-15 |