| NPI | 1205341302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028885-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14174643) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2019-09-03 |