| NPI | 1063941904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 1144761) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006911) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |