| NPI | 1053805234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029944-01) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2025-01-16 |