| NPI | 1457504011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 152058021) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: NY 152058021) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |