NPI | 1215124060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7956) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015982-1) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2007-09-25 |