| NPI | 1346552155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14538) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017440-1) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2016-07-13 |