| NPI | 1073228680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO .0005508) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 032752) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-09-05 |