| NPI | 1124573415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-10008-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025834-1) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |