| NPI | 1326359381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 007485) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-08-15 |