| NPI | 1619278199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013345-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7556) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2016-12-12 |