NPI | 1972814051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019494-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00631800) |
235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001250) | |
235Z00000X Speech-Language Pathologist, (Licence: PA SL009862) | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2012-11-20 |