| NPI | 1831402585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9208) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019288-1) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2018-12-20 |