| NPI | 1245578103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 003272-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8072) |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2021-05-18 |