| NPI | 1508012980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009633) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005398) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2009-10-08 |