| 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 |