| NPI | 1730512658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025598) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6215) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2018-05-28 |