| NPI | 1972739688 |
|---|---|
| Former Name | CARLY GOLDRING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108688) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019130) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2015-10-22 |