| NPI | 1053564443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 014361-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6205) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |