| NPI | 1053566091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 01828-5) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011313) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2020-01-21 |