| NPI | 1437407251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019045-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 151697071) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2016-05-19 |