| NPI | 1679603674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17674) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 18471) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-07-07 |