| NPI | 1104221845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025521-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 025521-1) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2017-03-22 |