| NPI | 1235483157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023069) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8601) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2016-11-28 |