| NPI | 1417555285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 18.005956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030240) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-11-06 |