| NPI | 1407074388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013453) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6405) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-03-23 |