| NPI | 1710024856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071528-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 5835137) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-08-06 |