NPI | 1467776674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 002839) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4434) |
Enumeration Date | 2010-03-16 |
Last Update Date | 2010-03-16 |