| NPI | 1073658738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4543) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014868) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-09-21 |