NPI | 1477069219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 006152-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL002683L) |
Enumeration Date | 2017-12-15 |
Last Update Date | 2017-12-15 |