| NPI | 1801049929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 007377-1) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2012-07-02 |