| NPI | 1487131629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028051) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-03-23 |