NPI | 1467692251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12735) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014489) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2014-10-07 |