| NPI | 1649809690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14342287) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-10-26 |