| NPI | 1215124060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015982-1) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |