| NPI | 1477043669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015565) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 17-29089) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-09-14 |