| NPI | 1942468095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009599) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001846) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-12-11 |