| NPI | 1124500236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014939) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242005075) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-09-16 |