| NPI | 1700041407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA14559) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 015571-1) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2016-10-07 |