| NPI | 1538456033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 11080) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016703) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-05-23 |