NPI | 1619260957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021942) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18261) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2016-11-28 |