| NPI | 1720218357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020569) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 004997) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2016-11-30 |