| NPI | 1649413733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 01491-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014911) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2016-12-06 |