| NPI | 1053687475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13609) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021668) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |