| NPI | 1326377672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 015967-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA sp-7864-sl) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2012-09-04 |