NPI | 1124306022 |
---|---|
Former Name | REBECCA MOSES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 021939-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2011-07-26 |
Last Update Date | 2015-03-16 |