| NPI | 1457691743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 145011896) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002115) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2016-11-10 |