| NPI | 1124231980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 2273) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2012-08-31 |