| NPI | 1548621253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 3640214) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2018-10-08 |