| NPI | 1255522108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-008727) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-06-15 |