| NPI | 1295974251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020046) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009461) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2012-01-25 |