| NPI | 1811291313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 1004121) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008257-1) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2017-05-11 |