| NPI | 1215470687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8790) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027403-1) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2018-03-22 |