| NPI | 1801049564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 006491-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 001024) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |