| NPI | 1255617346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE7277) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2016-11-10 |