| NPI | 1144615477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20961) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025203) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2016-10-27 |