| NPI | 1689753006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 011251-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 003584) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2014-10-15 |