NPI | 1013367887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025672) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00848500) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-27 |