NPI | 1972820785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 019942-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 10155) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2012-09-10 |