| NPI | 1053815449 |
|---|---|
| Former Name | JILL TEITELBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029869) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015063) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-01-02 |