| NPI | 1386346393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9136) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 034902) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2025-07-16 |