| NPI | 1093441800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5500) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-07-14 |