NPI | 1932393030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8778) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016171) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2007-08-31 |