| NPI | 1427687227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030773) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2023-04-14 |