| NPI | 1194357590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028828-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012375) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2024-08-12 |