| NPI | 1497907661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10044) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018435-1) |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2018-03-28 |