| NPI | 1952743635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 4881) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 235Z00000X Speech-Language Pathologist (Licence: NY 023840) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2016-06-10 |