| NPI | 1518684489 |
|---|---|
| Former Name | ISABELLA MARIE 10212022503207 |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006931) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-12-29 |