| NPI | 1932558434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100270) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026896) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-08-25 |