| NPI | 1649521725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010888) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012016487) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2015-09-03 |