| NPI | 1043681893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1856) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019292-1) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |