| NPI | 1962772152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20117) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 009504-1) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2022-10-27 |