| NPI | 1720450414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011164) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 002120) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |