NPI | 1871898734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027750-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001188) |
Enumeration Date | 2011-01-24 |
Last Update Date | 2018-09-12 |