| NPI | 1245909084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032883) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 6619) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-11-11 |