| NPI | 1316494040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013777) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242003944) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2017-08-29 |