| NPI | 1770152563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146016495) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242006361) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-06-28 |