| NPI | 1184608861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016777-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004S64) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-10-22 |