| NPI | 1780050740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 02946501) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 844755) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2020-09-28 |