| NPI | 1457785164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020202-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58020202) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00923100) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-10-12 |