| NPI | 1366781338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 23473) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022548-1) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2025-04-29 |