| NPI | 1023197928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025040) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl008211) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-05-08 |