| NPI | 1417090713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13640) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 011477-1) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-09-03 |