| NPI | 1366622425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016417-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103318) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2021-07-29 |