NPI | 1952748469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024339) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10356) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2015-07-20 |