| NPI | 1063183747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023640) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-10-13 |