| NPI | 1346641214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 834709141) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 034254) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2024-11-21 |