| NPI | 1487994380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022837) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 717358132) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01066200) | |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2021-10-18 |