| NPI | 1023581097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14068890) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |