| NPI | 1649485673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8691) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016115) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2009-08-19 |