| NPI | 1316192883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 010465) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016211) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2020-09-22 |