| NPI | 1609162247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011118) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001886) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2012-06-15 |