| NPI | 1043396765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R047971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0024781) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |