| NPI | 1134355027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008689) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 2087) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2012-09-04 |