NPI | 1396024048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10989) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021235-1) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2014-09-11 |