| NPI | 1437469533 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9458) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 011826-1) | 
| Enumeration Date | 2010-10-07 | 
| Last Update Date | 2024-04-23 |