| NPI | 1063478295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013750) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013750-1) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-01-22 |