| NPI | 1972752129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8424) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 010236) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2023-10-25 |