| NPI | 1356864532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 027673) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00894100) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-07-23 |