| NPI | 1417102203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011392) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018733-1) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2013-08-15 |