| NPI | 1700113081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019174-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10587) |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2014-07-01 |