| NPI | 1528284312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 003849-1) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |