| NPI | 1083109045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014916) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014916) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-06-13 |