| NPI | 1801302336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9689) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015606) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2025-10-07 |