| NPI | 1689843609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 26-0193915) |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2009-08-31 |