| NPI | 1922241918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14688) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019713) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2016-08-25 |