| NPI | 1780166934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013691) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026750) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |