| NPI | 1962874578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023681) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 4812) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 21785) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2020-01-31 |