| NPI | 1598432098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 031619) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78152) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-01-19 |