| NPI | 1053715367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024285) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024285-1) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2019-09-10 |