| NPI | 1962578203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07923) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007518) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-06-15 |