| NPI | 1770768137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7631) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007872) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2021-03-22 |