| NPI | 1508038563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA 8526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 008293-1) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2016-01-27 |