| NPI | 1093018624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002286) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010340) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2020-01-27 |