| NPI | 1881064434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 3665915) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2024-12-17 |