| NPI | 1669786927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20035) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014119-1) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2024-09-03 |