| NPI | 1760249759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 033896) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CT 18.007397) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |