| NPI | 1942452297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0132291) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27022703) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2009-09-16 |