| NPI | 1538447917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021110-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5003) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2013-06-11 |