| NPI | 1952601395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016467-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7310) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 003292) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |