| NPI | 1366697625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12572) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018313-1) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2021-10-20 |