| NPI | 1760872154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023909) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41S00787800) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL004933L) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |