| NPI | 1720355449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027189-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9671) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2018-03-17 |