| NPI | 1306143961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58020757) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020757) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2016-03-01 |