| NPI | 1093280448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026170) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14045095) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2022-08-05 |