| NPI | 1205089158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 004670-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 003940) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |