| NPI | 1336523604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 11-2241326) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023785) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2018-09-19 |