| NPI | 1700936879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8822) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022541) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-06-13 |