NPI | 1295064301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 1043) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41Ys00577900) |
235Z00000X Speech-Language Pathologist, (Licence: NY 0195991) | |
Enumeration Date | 2009-12-18 |
Last Update Date | 2009-12-18 |