| NPI | 1245631704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13123) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023781-1) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |