| NPI | 1396990008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017687-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009119) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2014-02-13 |