| NPI | 1104216175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58013528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18372) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |