| NPI | 1457752867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023953) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023953-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 004876) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |