| NPI | 1568617926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008085-1) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2022-11-20 |