| NPI | 1477897528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022876) |
| Additional Taxonomies | 235500000X Specialist/Technologist |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-11-28 |