| NPI | 1215652417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016401) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 100896) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |