| NPI | 1518397918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011935) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 016489) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 4056) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2019-11-13 |