| NPI | 1417189556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103393) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2013-09-26 |