| NPI | 1043440670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 001980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010277) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2011-08-12 |