| NPI | 1467599068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10434) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 01268-1) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-09-18 |