| NPI | 1013389584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15141) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 9040890) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2023-07-14 |