| NPI | 1528517984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014094) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58 024628) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-08-05 |