NPI | 1841651189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025482) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
174400000X Specialist (Licence: NY 3741740) | |
Enumeration Date | 2016-03-15 |
Last Update Date | 2016-04-13 |