| NPI | 1588724280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 001428-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 012854-1) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-02-26 |