| NPI | 1760793913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 021117-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2014-06-18 |