| NPI | 1710612445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242006878) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10972) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-09-23 |