| NPI | 1184671695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 002811) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003375) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-10-15 |