| NPI | 1942565726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023370-1) |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: NY 600142121) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2018-09-12 |