| NPI | 1710222955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011593) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002242) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2019-12-18 |