| NPI | 1073884169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021177-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 26271) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2016-12-07 |