| NPI | 1508134479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 010167-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 010167) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2024-10-29 |