| NPI | 1720312192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 009189) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9876) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2011-05-17 |