| NPI | 1588757868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7833) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 005826-1) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2019-06-26 |