| NPI | 1003168584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 020839) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00828000) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2023-03-24 |