| NPI | 1538285044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007868) |
| 101YP2500X Counselor, Professional (Licence: IL 178.014935) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-06-24 |