| NPI | 1942586912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021186-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-08-080) |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2011-10-22 |