| NPI | 1881137339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4336-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025812) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2021-07-02 |