| NPI | 1558847111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028908) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL014785) | |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 11423204-4102) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-11-04 |