| NPI | 1518383108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7025) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2024-01-11 |