| NPI | 1639459324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 15695) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14117652) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2022-03-14 |