| NPI | 1659525749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 11819) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014642) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2019-04-03 |