| NPI | 1679962864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 02161988) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2019-06-19 |