| NPI | 1063665248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 016616-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016616-1) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2020-08-14 |