| NPI | 1376808030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 01092) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010694) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |