| NPI | 1780050047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0003890) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-04-30 |