| NPI | 1699053256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20037) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021964) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2022-04-27 |