| NPI | 1942749023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 19387) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027467) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2021-08-25 |