| NPI | 1154847572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014369) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018036001) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-05-20 |