| NPI | 1770853475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: NY 012322-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 012322-1) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2025-05-02 |