| NPI | 1033303243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11218) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021430-1) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-12-03 |