| NPI | 1508289075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 004295) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 021456-1) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |