| NPI | 1669929584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026944-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 26944-1) |
| 252Y00000X Early Intervention Provider Agency | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-07-28 |