| NPI | 1508055443 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009283) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4108) | 
| Enumeration Date | 2007-10-16 | 
| Last Update Date | 2024-01-18 |