| NPI | 1962651380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 104290-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP11697) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2015-10-10 |