| NPI | 1801339627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021256) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 17872) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2020-09-25 |