| NPI | 1396100103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028032-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07875) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2021-01-06 |