| NPI | 1851655393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 007941-1) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |