| NPI | 1164675641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0147911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 4419091) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |