| NPI | 1245781491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026240) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9982SL) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-31 |