| NPI | 1184011298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8705) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010218) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |