| NPI | 1538427935 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021843) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2012-04-24 | 
| Last Update Date | 2017-05-01 |