| NPI | 1467914614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029740-01) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-05-12 |