NPI | 1417266826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: NY 008290-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 220065) |
235Z00000X Speech-Language Pathologist, (Licence: NY 008290-1) | |
Enumeration Date | 2010-10-02 |
Last Update Date | 2019-05-02 |