| NPI | 1003275355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026972) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9780-SL) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2021-04-11 |