| NPI | 1649526872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022014) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |