| NPI | 1083759237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 003457) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 58-015615) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |