| NPI | 1578701215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 009279-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 009279) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2021-01-12 |