| NPI | 1790089761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NH 1519) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 12139738) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-02-07 |