NPI | 1336355866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017863) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-1417) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2010-07-01 |