| NPI | 1457885014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008592) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012173) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |