| NPI | 1568412070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013025-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6901) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-05-20 |