| NPI | 1851932602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029990) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY P102460) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-09-02 |