| NPI | 1063923019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000006731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027006) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2019-10-08 |