| NPI | 1356744924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 5031) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024749) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-10-28 |