| NPI | 1538627765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029549) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2025-10-29 |