NPI | 1588835664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021867-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05200) |
Enumeration Date | 2008-03-18 |
Last Update Date | 2012-06-11 |