NPI | 1417215518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021865) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06640) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2014-07-29 |