| NPI | 1053695619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 1315355) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 022107-1) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2016-12-08 |