| NPI | 1609685619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 034299) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 7345) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |