| NPI | 1669784237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 109440) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019943) |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2022-05-24 |