| NPI | 1730318189 |
|---|---|
| Former Name | NICHOLE MARIE BOECKMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025348) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010878) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2017-02-15 |