| NPI | 1255105375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 242008386) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2025-06-30 |