| NPI | 1013239102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008743) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113018) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2020-05-16 |