| NPI | 1063546265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-005065) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-06-14 |