| NPI | 1396167367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3888-154) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2016-06-20 |