| NPI | 1952554958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008008957) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |