| NPI | 1447567201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 005928-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 001902) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |