| NPI | 1083014948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15051812) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 904475141) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 945776151) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2021-03-02 |