| NPI | 1952450033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005323) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11100) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-11-09 |