NPI | 1396873204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 6290) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008911-1) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2007-07-08 |