| NPI | 1821297300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-004407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01132) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA MA7678) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |