| NPI | 1679305940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 035714) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02874L) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-07-25 |