NPI | 1841499159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017252-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9059) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2008-07-10 |