| NPI | 1972820785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019942-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10155) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2012-09-10 |