| NPI | 1811010275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016736) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7442) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-12-07 |