NPI | 1598820805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016903-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7833) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-08-28 |