NPI | 1346552155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14538) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017440-1) |
Enumeration Date | 2010-07-09 |
Last Update Date | 2016-07-13 |