| NPI | 1467776674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 002839) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4434) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |