NPI | 1326445404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 12130612) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 22266) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2014-12-04 |