NPI | 1093945602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 015956-1) |
Additional Taxonomies | 235500000X Specialist/Technologist (Licence: NY 015956-1) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2009-07-16 |