| NPI | 1326302217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 556499041) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |