| NPI | 1821251158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028458) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05555) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2019-12-02 |