| NPI | 1669722690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 14064894) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022912-1) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2023-11-14 |