| NPI | 1205273968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024619) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2020-01-17 |