| NPI | 1902036494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15360) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019271) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-07-16 |