| NPI | 1740630383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026602) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14200517) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2017-05-11 |