| NPI | 1255475125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017306-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005026) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-05-17 |