| NPI | 1871771543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 11091) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 015478) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2016-01-28 |