| NPI | 1144509357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020330) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06300) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC 000309) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |