NPI | 1518303411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022826) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107617) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2013-05-17 |