NPI | 1417199522 |
---|---|
Other Name | CHRISTINA STAUBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 12566861) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004020) |
Enumeration Date | 2009-04-03 |
Last Update Date | 2012-10-19 |