| NPI | 1417244914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026492) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001820) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2017-03-13 |