| NPI | 1083821896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 3337) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 009021-1) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-09 |