| NPI | 1508646357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0331132) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2025-03-21 |