| NPI | 1063568939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R037372-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 011298-1) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-07-02 |