NPI | 1922485523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9755) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58-014657) |
Enumeration Date | 2015-05-03 |
Last Update Date | 2016-01-06 |