NPI | 1811291313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 1004121) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008257-1) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2017-05-11 |