| NPI | 1588165682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027447) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 5858) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-05-12 |