| NPI | 1487006631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029531) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2020-02-12 |