| NPI | 1467645598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16092) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008848-1) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2020-02-03 |