| NPI | 1215310685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026706-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012155) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2019-01-03 |