| NPI | 1982264669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029932-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019020948) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2020-12-03 |