| NPI | 1154698496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017391) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 003955) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2013-11-05 |