| NPI | 1053722777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012498) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025026) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2016-02-25 |