| NPI | 1265754014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019776) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 294168091) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2021-02-23 |