| NPI | 1457772626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022642) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6338) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |