| NPI | 1003178054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 223494) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 223494) |
| 235Z00000X Speech-Language Pathologist, (Licence: 030088-01) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2020-09-21 |