| NPI | 1891158960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013896) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2020-05-04 |