| NPI | 1467765396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11831) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020194) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2012-11-08 |