| NPI | 1417109588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004191) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015583-1) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2010-11-23 |