NPI | 1568825651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025775-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-08-01 |