| NPI | 1093969768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 007284-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY Reg #5941545) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |