| NPI | 1073727574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 008015) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004032) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL009312) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-06-02 |