| NPI | 1710236849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 5772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 428922101) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2015-09-17 |