| NPI | 1942525035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010548) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111136) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2017-01-11 |