| NPI | 1174760029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA 56010136) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.005581) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2011-02-01 |