| NPI | 1306353800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014685) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz8080) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2021-01-07 |