| NPI | 1457672784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8344) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58 020140) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-06-01 |