| NPI | 1851788855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ AZ9251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58021629) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |