NPI | 1184861593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 008036-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 002987) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2009-01-07 |