| NPI | 1710259700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021690) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 02169001) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2019-04-27 |