| NPI | 1225542244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027343) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14128053) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-11-14 |