| NPI | 1144522376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003641) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015338-1) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |