| NPI | 1316389810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002740) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2014-06-18 |