| NPI | 1740464122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004316) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2017-01-25 |