NPI | 1417142811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 018500-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL 1476) |
Enumeration Date | 2007-09-09 |
Last Update Date | 2016-02-29 |