| NPI | 1477903870 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: SC 8292)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NY 026760)  | 
| Enumeration Date | 2016-06-16 | 
| Last Update Date | 2023-03-17 |