| NPI | 1174887509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146011623) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-06-23 |