| NPI | 1396149498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005488) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012443) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2021-12-06 |