| NPI | 1306530654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101803) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 034309) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2025-08-19 |