| NPI | 1548741044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004927) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-06-30 |