| NPI | 1841504255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011869) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105452) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL 10195) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2021-11-06 |