| NPI | 1518272178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58 020360) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020360-01) |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2023-05-24 |