| NPI | 1730562406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026350-1) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2025-03-21 |