| NPI | 1992017347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08309) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019823-1) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-11-16 |