| NPI | 1215479878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 14528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024484) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-12-07 |