| NPI | 1013296193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025550-1) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 606614051) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2016-05-15 |