| NPI | 1669782157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14728) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 005773) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2016-10-05 |