| NPI | 1407134893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0151801) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015180) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-06-22 |