NPI | 1447405154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 009794-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 9794-1) |
Enumeration Date | 2008-11-21 |
Last Update Date | 2012-05-23 |