| NPI | 1447760533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029540-01) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2020-09-30 |