| NPI | 1669027447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78260) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030372) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2022-11-04 |