| NPI | 1962905349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014535) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017027045) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2021-03-15 |