NPI | 1649413733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 01491-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014911) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2016-12-06 |