| NPI | 1316615875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033592) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16392) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-12-12 |