| NPI | 1407267040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023679-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6047) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |