| NPI | 1124044888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 005452) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-08-25 |