| NPI | 1639629686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032067-01) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2022-10-19 |