| NPI | 1255619599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 021139-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021139-1) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2018-09-05 |