| NPI | 1134438690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL 19025) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 19025) |
| 235Z00000X Speech-Language Pathologist (Licence: NY 020464-1) | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2022-03-24 |