| NPI | 1194868711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8085) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146000286) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-04-21 |