NPI | 1841548435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022048-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004472) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |