| NPI | 1790938769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 002725) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 2725) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2011-05-24 |