| NPI | 1457769465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027522) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009791) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2021-04-01 |