| NPI | 1790048288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0228227-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2335306) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-09-13 |