| NPI | 1386875573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA11426) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 010024-1) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2022-12-12 |