| NPI | 1972864767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026938) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2022-07-21 |