| NPI | 1760886485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9180) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2019-05-24 |