| NPI | 1245627728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23305) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022978) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2025-10-20 |