| NPI | 1306389531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015290) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2020-05-22 |