| NPI | 1457653651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 19569) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016187) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2022-02-01 |