| NPI | 1659684967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010104) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 171367) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2017-02-04 |