| NPI | 1033342795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0162961) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016296) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL 19532) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2021-11-03 |