| NPI | 1013202183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019280-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4992) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2013-08-18 |