| NPI | 1023263084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 008496-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010116) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2010-02-09 |