| NPI | 1679695704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009759) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 01136101) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-10-26 |