| NPI | 1720227366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069975-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 007083) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |