NPI | 1063685691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012403-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 8040574) |
Enumeration Date | 2008-04-03 |
Last Update Date | 2013-09-18 |