| NPI | 1750703013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5426) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022012) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-07-02 |