| NPI | 1265560502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 005610) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-01-15 |