| NPI | 1538513874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30409) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027162) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2021-09-22 |