| NPI | 1881936946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4398-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 09581-1) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-07-08 |