| NPI | 1902077381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017022) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2009-05-14 |