| NPI | 1376109066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 031721) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009540) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2022-11-29 |