| NPI | 1891069217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024494) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11503) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2015-03-06 |