| NPI | 1861939860 |
|---|---|
| Former Name | LORAINE JUDITH KOZICHOUSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006679) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |