| NPI | 1275619207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO .0001497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.0070020) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-02-04 |