| NPI | 1780175547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028597) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2019-04-08 |