| NPI | 1972033363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013237) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016029414) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2019-01-03 |