| NPI | 1326381781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016699) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19099) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2023-04-06 |