| NPI | 1912516345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 031178) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-10-01 |