| NPI | 1083144737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023515) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 005758) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |