| NPI | 1912299363 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 021878) | 
| Enumeration Date | 2011-05-04 | 
| Last Update Date | 2013-04-25 |