NPI | 1457650715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003024) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 03-040890) |
235Z00000X Speech-Language Pathologist, (Licence: NY 009912-1) | |
Enumeration Date | 2011-03-24 |
Last Update Date | 2017-01-18 |