| NPI | 1124165717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 014815) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014815-1) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-02-25 |