| NPI | 1043656069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027450-1) |
| Additional Taxonomies | 174400000X Specialist |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 006142) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2020-09-24 |