| NPI | 1780022160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19024) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021488) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2025-10-20 |