| NPI | 1841468964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 04312) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 008606) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2024-07-01 |