| NPI | 1548494172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018813-1) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2024-01-06 |