NPI | 1740515980 |
---|---|
Former Name | JULIA RAYKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY SLPDOE) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6257) |
Enumeration Date | 2009-10-06 |
Last Update Date | 2011-12-02 |