| NPI | 1194153023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012716) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7939) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-10-07 |