| NPI | 1548740707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 9982991) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 005324) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-08-16 |