| NPI | 1245639004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025814) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011912) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-08-02 |