| NPI | 1598918419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58-013566) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2016-05-16 |