| NPI | 1427296367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007108) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.003099) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |