| NPI | 1396344370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030228) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2026-04-16 |