| NPI | 1700377652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028820) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028820-01) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2023-10-05 |