| NPI | 1205170529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL005475L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008538-1) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |