| NPI | 1174178941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.017007) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005527) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL015609) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2023-07-07 |