| NPI | 1043502693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58022512) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP17591) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2013-03-08 |