| NPI | 1851899116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022474) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |