NPI | 1710135595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 010944) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 9023) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2012-09-11 |