| NPI | 1083983787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 0012114) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020225) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2025-01-14 |