| NPI | 1871726828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010451) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3264154) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-10-15 |