| NPI | 1952060055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002288) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14418756) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2024-06-12 |