| NPI | 1366608598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4358) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 005079-1) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-12-04 |