| NPI | 1093205056 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014039) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 14154816) | 
| Enumeration Date | 2018-05-15 | 
| Last Update Date | 2024-02-07 |