| NPI | 1144531617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA24441) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008083-1) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2026-05-05 |