| NPI | 1619929213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.001223) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005701) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2009-09-15 |