| NPI | 1093945602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 015956-1) |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: NY 015956-1) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |