| NPI | 1457511669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 018115-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009199) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-11-20 |