| NPI | 1376969626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.004780) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16014) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2018-03-17 |