| NPI | 1609168178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013565) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 480559101) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2023-08-27 |