| NPI | 1396049656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 12058) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019232) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2018-05-31 |