| NPI | 1518139229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016877-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9105) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2015-10-16 |