| NPI | 1164651303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012574) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 012574-1) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2019-09-18 |