| NPI | 1497911218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004082) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017638) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2025-07-31 |