| NPI | 1740567692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020158) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020158-1) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2024-01-26 |