| NPI | 1952014961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.008158) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-12-23 |