| NPI | 1144601543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027687-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012444) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-07-20 |