| NPI | 1689988958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IN 22005896A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 006428-1) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2015-05-04 |