| NPI | 1609242601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15022) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027755) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2020-06-24 |