| NPI | 1528511896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015368) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016028065) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2026-07-16 |