| NPI | 1306992060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012033) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004026433) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-05-28 |