| NPI | 1801062419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PRO29392) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 001186) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2008-05-31 |