| NPI | 1962122200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033534) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-09-27 |