| NPI | 1134802309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033615) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP96189) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-09-18 |