| NPI | 1972884864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-4900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020233-1) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2016-08-27 |