NPI | 1891949905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 014272-1) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NY 001541-1) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2008-11-17 |