| NPI | 1255600250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 008199) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 7402818) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2019-06-12 |