| NPI | 1700030400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012142-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 000517) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |