| NPI | 1326275629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 565) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008839) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |