| NPI | 1568795722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 1802739) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018036-1) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-08 |