| NPI | 1730624685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9944) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2018-03-17 |