NPI | 1467607010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 005008-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41Y01115600) |
235Z00000X Speech-Language Pathologist, (Licence: FL TPSA271.) | |
Enumeration Date | 2008-11-24 |
Last Update Date | 2022-12-28 |