| NPI | 1417261538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010073) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: IL 146010073) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2019-03-12 |