| NPI | 1982848909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 475) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 010865) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2017-04-27 |