| NPI | 1083698708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7564) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006162) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-02-05 |