| NPI | 1649549544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: NY 024503001) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2022-07-21 |