| NPI | 1073756318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10712) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019957-1) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2018-07-10 |