| NPI | 1962035782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030597) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030597-01) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-09-12 |