| NPI | 1396977898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010417) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.001317) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2011-03-21 |