| NPI | 1609943224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008210) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-08-20 |