| NPI | 1982353678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28849) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030342-01) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |