| NPI | 1215482286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013818) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003863) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-08-13 |