| NPI | 1821339219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 752785) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2014-09-24 |