| NPI | 1700928488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 174) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 035649) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-04-14 |