| NPI | 1275156416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028906) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014506) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |