| NPI | 1235367194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019541-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7637) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-02-07 |