| NPI | 1093213209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002997) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025892) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |