| NPI | 1992136170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 16108) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022252) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2019-01-15 |