| NPI | 1902006448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013829-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6090) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-12-03 |