| NPI | 1902887839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 003593) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11551) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-05-08 |