NPI | 1609014737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11194) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00570600) |
235Z00000X Speech-Language Pathologist, (Licence: NY 018216) | |
235Z00000X Speech-Language Pathologist, (Licence: CT 004002) | |
Enumeration Date | 2009-01-27 |
Last Update Date | 2021-09-27 |