| NPI | 1598142655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020353) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL0118822) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |