| NPI | 1407191380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022220) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 2155) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2022-09-22 |