NPI | 1871556035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019129-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8865) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202004850) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2011-07-06 |