| NPI | 1407416191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028825) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 028825) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |