| NPI | 1326651423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030928) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-04-24 |