| NPI | 1144516394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP27407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00570100) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 018112) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-09-18 |