| NPI | 1558783761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033604) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10007) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2334) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2024-03-11 |