| NPI | 1457672644 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009236) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009957) | 
| Enumeration Date | 2010-06-22 | 
| Last Update Date | 2018-01-15 |