| NPI | 1497138309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024599-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1585) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |