| NPI | 1295913598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016570) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WI 171M00000X) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2022-10-21 |