NPI | 1033360664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 018027-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00564400) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2015-06-23 |