| NPI | 1508006214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012762-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 012762) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2024-08-20 |