| NPI | 1033364237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 11882) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017413-1) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2022-06-29 |