| NPI | 1124489059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0251251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76665) |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2018-05-03 |