| NPI | 1609397587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 028019-1) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2019-02-15 |