| NPI | 1649054990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033166-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033166) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |