| NPI | 1235673377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 014463) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 001941) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2020-06-16 |