| NPI | 1992489744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 035508) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 7404) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-07-29 |