| NPI | 1760638969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10645) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 007807) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-05-20 |