| NPI | 1679701965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12679) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017896) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-10-21 |