| NPI | 1124287842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 006168-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06162) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2013-01-23 |