NPI | 1396035192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020859) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00638100) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |