| NPI | 1750591871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 6895) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016645) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-05-27 |