NPI | 1750684924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 011255) |
Additional Taxonomies | 374K00000X Religious Nonmedical Practitioner |
Enumeration Date | 2010-12-10 |
Last Update Date | 2010-12-10 |