| NPI | 1700030590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11901) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014310) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2024-05-14 |