| NPI | 1609186717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 006800-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 6800) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2020-05-29 |