| NPI | 1891212155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 2071454) |
| Additional Taxonomies | 101Y00000X Counselor |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 14109977) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-09-30 |