NPI | 1831402585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9208) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019288-1) |
Enumeration Date | 2010-07-23 |
Last Update Date | 2018-12-20 |