NPI | 1356585913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 1720666) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 1720666) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2009-04-27 |