| NPI | 1578716957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015523-1) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2021-04-30 |