| NPI | 1962786319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0178971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017897) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2023-01-09 |