| NPI | 1417365024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024633) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07564) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-04-11 |