| NPI | 1376152926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA24169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 031362) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2026-07-13 |