| NPI | 1952717951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024991-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl011897) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2015-10-01 |