| NPI | 1700441722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005237) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015619) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2025-04-22 |