| NPI | 1467692251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12735) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014489) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2014-10-07 |