| NPI | 1548866247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5183) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030162) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-07-05 |