| NPI | 1174999668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021525) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14035223) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-20 |