| NPI | 1063559649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9759) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 011549) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-03-20 |