| NPI | 1760733844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 5146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020953-1) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2024-03-01 |