| NPI | 1619455730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76311) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026135) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-08-22 |