| NPI | 1972929388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 029481-01) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2024-12-18 |