| NPI | 1992013742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010346) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006217) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2013-05-15 |