| NPI | 1447703665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026682) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2023-10-02 |