| NPI | 1760136097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101344) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030442) |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2025-01-23 |