| NPI | 1639419799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20919) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022614) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-07-05 |