| NPI | 1467752188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 16318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020253-1) |
| 252Y00000X Early Intervention Provider Agency | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2018-10-15 |