| NPI | 1114176518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012054) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1376) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2020-09-25 |