NPI | 1801062419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PRO29392) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 001186) |
Enumeration Date | 2008-05-03 |
Last Update Date | 2008-05-31 |