| NPI | 1649562059 |
|---|---|
| Former Name | LIANNE FAYE FAKTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012253) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105018) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-09-02 |