| NPI | 1639633308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 1128825) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 03-837223) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2020-09-18 |