| NPI | 1629213723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001820) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008862-1) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2026-01-15 |