| NPI | 1841432879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 026131-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 765212) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2016-11-29 |