| NPI | 1023091790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004266) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL DB94530602P) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO spp109415) | |
| Enumeration Date | 2005-11-27 |
| Last Update Date | 2019-10-30 |