| NPI | 1356637680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012476) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3553-154) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2015-02-13 |