| NPI | 1740311778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0012537) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015812-1) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-10-22 |