| NPI | 1538958392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 034360-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5290) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |