| NPI | 1972950954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 1423986201) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 758030822) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2022-09-13 |