| NPI | 1700216827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028535) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2024-07-12 |