| NPI | 1184858383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004071) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020142) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2015-05-18 |