| NPI | 1992917538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017108-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02572) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |