| NPI | 1952748469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10356) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2015-07-20 |