| NPI | 1730312059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8233) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019145-1) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2021-02-08 |