| NPI | 1518120732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.005681) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2021-01-27 |