| NPI | 1669755310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010852) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020328-1) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2014-01-23 |