NPI | 1255636015 |
---|---|
Former Name | YVONNE ANN KORDICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 12624) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 12624) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2011-01-25 |