| NPI | 1457991762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20480) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 029467-01) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-06-15 |