| NPI | 1225470982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012199) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002681) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2018-01-10 |