| NPI | 1396213112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015296) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020010529) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 6293) | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2021-01-24 |