| NPI | 1093010498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 1195) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019907.1) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2012-04-26 |