| NPI | 1053436949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 015030) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 6833) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-04-15 |