| NPI | 1588729206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 000447) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000509) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |