NPI | 1316166838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 014035-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00265600) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2018-03-17 |