| NPI | 1679388243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032943) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-78603-SP-SL) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01167700) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |