| NPI | 1730383837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242000369) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0209841) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-11-14 |