| NPI | 1134670698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 004770-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 2542) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2021-01-04 |