| NPI | 1376879668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008661) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010061) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2014-10-20 |