| NPI | 1942713474 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA19299)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NY 028079-01)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: FL sz8245)  | |
| Enumeration Date | 2017-11-06 | 
| Last Update Date | 2021-07-29 |