| NPI | 1740840750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028903) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14181971) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-09-09 |