| NPI | 1760868327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030879) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012533) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 76716) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2021-10-22 |