| NPI | 1558672519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10661) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019296-1) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2014-08-11 |