| NPI | 1407375850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2021-09-14 |