NPI | 1053790733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: RI SP01429) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 026930) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2018-09-07 |