NPI | 1770817561 |
---|---|
Former Name | ANGELA REUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 011401) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 011401-1) |
Enumeration Date | 2009-09-25 |
Last Update Date | 2014-12-02 |