| NPI | 1982841714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003448) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 010728) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |