| NPI | 1366642134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016265) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008648) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2016-12-08 |