| NPI | 1770641250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-006776) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2684-154) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-08-31 |