| NPI | 1366850729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8950) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025091) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-01-11 |