| NPI | 1306283254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023670-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023670) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2021-11-11 |