| NPI | 1114203882 |
|---|---|
| Former Name | GINA R DAMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 010862-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 010862) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2018-09-25 |