| NPI | 1053799882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026015-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026015) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2019-02-28 |