| NPI | 1083857254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013264) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013264-1) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2022-07-01 |