| NPI | 1043446339 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007844) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12786) | 
| 235Z00000X Speech-Language Pathologist, (Licence: WI 5019-154) | |
| Enumeration Date | 2009-06-01 | 
| Last Update Date | 2024-05-13 |