| NPI | 1235491077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-03166) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4047) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2016-11-30 |