| NPI | 1255664900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10115) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021907-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 190480914) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2022-07-21 |