| NPI | 1316351026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09336) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024821) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2020-11-23 |