| NPI | 1215122007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3076 154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146 008259) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-09-20 |