| NPI | 1639710809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032431) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77735) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2022-11-09 |