| NPI | 1922580273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13797) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 029020) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-08-30 |