| NPI | 1275845364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 4045) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018916) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2020-01-07 |