NPI | 1396990008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 017687-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL009119) |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2008-11-21 |
Last Update Date | 2014-02-13 |