| NPI | 1861032815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 220209938) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022921) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: NY 022921) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-12-13 |