NPI | 1770891905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 000986) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58 011910) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |