| 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 |